| NPI | 1114376357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE L. GRUVER Dental Consultant 919-900-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 5371) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |